Individual
DR. VINCENT J YAKAVONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 CENTERVILLE RD, WARWICK, RI 02886-4336
(401) 738-3730
(401) 738-3777
Mailing address
120 CENTERVILLE RD, WARWICK, RI 02886-4336
(401) 738-3730
(401) 738-3777
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
RI5999
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001924
—
RI
Enumeration date
07/20/2005
Last updated
11/10/2009
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